doi:10.3761/j.issn.0254-1769.2019.07.011

Abstract

Key words: Dementia, Mental Disorders, Nurse’s Practice Patterns, Review

摘要：

针对不同护理模式对痴呆患者精神行为症状干预的研究进行综述,阐述了3R护理模式、自我管理模式、基于蒙台梭利原则的护理模式、同理心护理模式和失效模式与效应分析5种护理模式干预方式、干预效果及应用情况,并提出后续研究的方向,为痴呆患者精神行为症状的管理提供参考依据。

关键词: 痴呆, 精神障碍, 护理实践模式, 综述

马冬飞, 孙皎, 赵英男, 万真真, 孙丹, 李焕焕, 邢庄婕, 李媛, 金花. 痴呆患者精神行为症状相关护理模式的研究进展[J]. 中华护理杂志, 2019, 54(7): 1017-1022.

References 40

[1]	Nourhashémi F, Andrieu S, Sastres N , et al. Descriptive analysis of emergency hospital admissions of patients with Alzheimer disease[J]. Alzheimer Dis Assoc Disord, 2001,15(1):21-25. DOI URL
[2]	Feast A, Moniz CE, Stoner C , et al. A systematic review of the relationship between behavioral and psychological symptoms(BPSD)and caregiver well-being[J]. Int Psychogeriatr, 2016,28(11):1761-1774. DOI URL
[3]	Maust DT, Kim HM, Seyfried LS , et al. Antipsychotics,other psy-chotropics,and the risk of death in patients with dementia:number needed to harm[J]. JAMA Psychiatry, 2015,72(5):438-445. DOI URL
[4]	Livingston G, Sommerlad A, Orgeta V , et al. Dementia prevention,intervention,and care[J]. Lancet, 2017,390(10113):2673-2734. DOI URL
[5]	Aalten P, Verhey FRJ, Boziki M , et al. Consistency of neuropsychiatric syndromes across dementias:results from the European Alzheimer Disease Consortium. Part II[J]. Dement Geriatr Cogn Disord, 2008,25(1):1-8. DOI URL
[6]	韩静, 郭桂芳, 邓宝凤 , 等. 临床照顾者应对痴呆患者精神行为症状的心理体验研究[J]. 中华护理杂志, 2016,51(10):1174-1179.
[7]	刘素美, 单春娥, 吕金英 , 等. 3R护理对老年血管性痴呆的影响[J]. 中国实用护理杂志, 2000(8):3-4.
[8]	Spagnolo P, Arico M, Bergamelli C , et al. A pilot study on behavioral and cognitive effects of Cognitive Stimulation Training based on 3R Mental Stimulation. The Treviso Dementia(TREDEM)Study[J]. Neuro Rehabilitation, 2015,36(1):151-156.
[9]	梁红梅, 陈婷, 陈恩妮 , 等. 3R强化护理法对血管性痴呆患者神经心理学的影响[J]. 现代临床护理, 2016,15(3):51-55.
[10]	Charlesworth G, Burnell K, Crellin N , et al. Peer support and reminiscence therapy for people with dementia and their family carers:a factorial pragmatic randomised trial[J]. J Neu-rol Neurosurg. Psychiatry, 2016,87(11):1218-1228. DOI URL
[11]	Mileski M, Baar TJ, Brooks M , et al. Sensory and memory stimulation as a means to care for individuals with dementia in long-term care facilities[J]. Clin Interv Aging, 2018,13:967-974. DOI URL
[12]	樊惠颖, 李峥 . 怀旧疗法在老年痴呆患者中的应用进展[J]. 中华护理杂志, 2014,49(6):716-720.
[13]	王长玲 . 3R护理干预在脑卒中后血管性痴呆患者中的应用效果观察[J]. 长治医学院学报, 2018,32(3):225-228.
[14]	Koh K, Ray R, Lee J , et al. Dementia in elderly patients:can the 3R mental stimulation programme improve mental status[J]. Age Ageing, 1994,23(3):195-199. DOI URL
[15]	黎彩红, 刘姗姗 . 老年痴呆并髋部骨折病人围术期改良3R护理干预研究[J]. 护理研究, 2011,25(23):2108-2110.
[16]	Lorig KR, Holman H , Self-management education:history,definition,outcomes,and mechanisms[J]. Ann Behav Med, 2003,26(1):1-7.
[17]	朱建中, 李鹏鹏, 王瑛 , 等. Orem自理模式对血管性痴呆患者行为和精神症状的康复效果[J]. 中国健康心理学杂志, 2014,22(10):1518-1520.
[18]	Quinn C, Anderson D, Toms G , et al. Self-management in early-stage dementia:a pilot randomised controlled trial of the efficacy and cost-effectiveness of a self-management group intervention(the SMART study)[J]. Trials, 2014,15(1):74-83. DOI
[19]	Pinnock H, Epiphaniou E, Pearce G , et al. Implementing supported self-management for asthma:a systematic review and suggested hierarchy of evidence of implementation studies[J]. BMC Med, 2015,13(1):127-144. DOI URL
[20]	Barlow J, Wright C, Sheasby J , et al. Self-management approa-ches for people with chronic conditions:a review[J]. Patient Educ Couns, 2002,48(2):177-187. DOI URL
[21]	Fitzsimmons S, Buettner LL , Health promotion for the mind,body,and spirit:a college course for older adults with dementia[J]. Am J Alzheimers Dis Other Demen, 2003,18(5):282-290. DOI URL
[22]	Quinn C, Toms G, Anderson D , et al. A review of self-management interventions for people with dementia and mild cognitive impairment[J]. J Appl Gerontol, 2016,35(11):1154-1188. DOI URL
[23]	Camp CJ , Origins of Montessori programming for dementia[J]. Nonpharmacol Ther Dement, 2010,1(2):163-174.
[24]	Camp CJ, Judge KS, Bye CA , et al. An intergenerational program for persons with dementia using Montessori methods[J]. Gerontologist, 1997,37(5):688-692. DOI URL
[25]	Roberts G, Morley C, Walters W , et al. Caring for people with dementia in residential aged care:successes with a composite person-centered care model featuring Montessori-based activities[J]. Geriatr Nurs, 2015,36(2):106-110. DOI URL
[26]	黄文贞, 刘丽丹, 王永红 , 等. 蒙台梭利教育法在老年痴呆患者护理中的应用现状[J]. 护理学杂志, 2016,31(7):17-19.
[27]	Ploeg ES, Eppingstall B, Camp CJ , et al. A randomized cro-ssover trial to study the effect of personalized,one-to-one interaction using Montessori-based activities on agitation,affect,and engagement in nursing home residents with Dementia[J]. Int Psychogeriatr, 2013,25(4):565-575. DOI URL
[28]	Lin LC, Huang YJ, Watson R , et al. Using a Montessori me-thod to increase eating ability for institutionalised residents with dementia:a crossover design[J]. J Clin Nurs, 2011,20(21-22):3092-3101. DOI URL
[29]	陈丽丽, 李红, 林榕 , 等. 老年痴呆患者吞咽困难状况及危险因素分析[J]. 护理学杂志, 2014,29(21):24-26.
[30]	项俊之, 季诚 . 护理同理心的概念及其测评工具的研究进展[J]. 解放军护理杂志, 2016,33(11):21-25.
[31]	许倩瑜, 李巧薇, 张婉容 . 同理心护理联合康复训练对住院老年血管性痴呆患者的影响[J]. 齐鲁护理杂志, 2018,24(7):19-22.
[32]	Moermans VRA, Bleijlevens MHC, Verbeek H , et al. The use of involuntary treatment among older adults with cognitive impairment receiving nursing care at home:a cross-sectional study[J]. Int J Nurs Stud, 2018,88:135-142. DOI URL
[33]	Desai A, Wharton T, Struble L , et al. Person-centered primary care strategies for assessment of and intervention for aggressive behaviors in dementia[J]. J Gerontol Nurs, 2017,43(2):9-17.
[34]	Weert JCM, Dulmen AM, Spreeuwenberg PMM , et al. Behavioral and mood effects of snoezelen integrated into 24-hour dementia care[J]. J Am Geriatr Soc, 2005,53(1):24-33. DOI URL
[35]	李嘉, 夏成凤, 周山 . 我国医疗不良事件报告系统的应用现状与思考[J]. 西南国防医药, 2015,25(08):910-911.
[36]	詹秀玲 . FMEA在痴呆住院患者精神行为症状风险防范管理中的应用[D]. 石家庄:河北医科大学, 2018.
[37]	Xu AY, Bhatnagar J, Bednarz G , et al. Failure modes and effects analysis(FMEA) for Gamma Knife radiosurgery[J]. J Appl Clin Med Phys, 2017,18(6):152-168.
[38]	Sorrentino P . Use of failure mode and effects analysis to improve emergency department handoff processes[J]. Clin Nurse Spec, 2016,30(1):28-37. DOI URL
[39]	陶静, 高莲莲, 刘清华 , 等. 追踪方法学联合失效模式与效应分析在非内分泌科胰岛素泵质量管理中的应用[J]. 中华护理杂志, 2016,51(12):1417-1421.
[40]	蒋红, 黄莺, 王桂娥 , 等. 医疗失效模式与效应分析在医院口服给药安全管理中的应用[J]. 中华护理杂志, 2010,45(5):394-396.

痴呆患者精神行为症状相关护理模式的研究进展

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References 40

Related Articles 15

Recommended Articles

Metrics

[1]	LIU Mengyuan, TIAN Lingyun, JIANG Jing, FENG Xinyu, LI Weijuan, LUO Hui, LI Yinglan. Ethical conflicts in interprofessional collaboration among nurses：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(9): 1138-1144.
[2]	CUI Yishuang, HE Xifei, WANG Zhaozhao, CHENG Jie, YANG Weimei, LU Lijuan. Shared decision making in acute coronary syndromes：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(9): 1145-1152.
[3]	ZHANG Xiaoyan, LI Xuejing, YANG Dan, MENG Meiqi, HAO Yufang. Intervention strategies for reducing sedentary behavior among older adults：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(8): 1012-1020.
[4]	YU Liangmeng, YU Xiaoling, LI Jiamei, RUAN Xiaofen. Application progress of evidence mapping in nursing field [J]. Chinese Journal of Nursing, 2024, 59(8): 1021-1025.
[5]	FANG Yu, HAO Yuanyuan, ZHANG Chen, DONG Ying, WU Yingxin, JIANG Guichun. Research progress and nursing inspiration on decision fatigue in cancer patients [J]. Chinese Journal of Nursing, 2024, 59(8): 941-946.
[6]	YE Lei, XIA Guanghui, CHEN Fangmei, TIAN Yuyan, QI Wei. A scoping review of virtual reality on the effects on patients of cancer-related cognitive impairment [J]. Chinese Journal of Nursing, 2024, 59(7): 882-889.
[7]	XIONG Tao, TAN Xuemei, LUO Jing, LI Yang, ZHENG Yuxi, LI Fengling, WEI Xuemei, CUI Lijun, LUO Lanjun. Research progress on rehabilitation motivation assessment tools for stroke patients [J]. Chinese Journal of Nursing, 2024, 59(7): 890-896.
[8]	WANG Xuan, WEN Xianxiu, GOU Li, ZHOU Lijuan, CHEN Fuli, WU Haiyan, WANG Liang. The cardiac rehabilitation adherence assessment tools：a systematic review of psychometric properties [J]. Chinese Journal of Nursing, 2024, 59(6): 736-743.
[9]	YAN Yu, GONG Shu, DUAN Difei, MA Dengyan. Application and progress of knowledge graphs in dietary management of patients with chronic diseases [J]. Chinese Journal of Nursing, 2024, 59(6): 753-757.
[10]	DENG Yifan, WANG Jianning, PENG Mengting, HONG Du. Decision aids for care decision making in dementia patients：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(6): 758-763.
[11]	ZUO Shunli, WU Jianwei, GUO Jun, LIU Ning. Introduction and enlightenment of dementia care managers in Macao，China [J]. Chinese Journal of Nursing, 2024, 59(6): 764-767.
[12]	ZHANG Miaomiao, ZHANG Li, YAN Rong, DING Min, MENG Xiangmin, XU Ping. Application progress of online grief counseling in palliative care [J]. Chinese Journal of Nursing, 2024, 59(5): 556-561.
[13]	XU Rongjing, HE Xuyan, JIA Shoumei. A scoping review of kinesiophobia research in elderly orthopedic postoperative patients [J]. Chinese Journal of Nursing, 2024, 59(5): 626-633.
[14]	WANG Siqi, FAN Ling. Research progress of presenteeism behavior in nurses [J]. Chinese Journal of Nursing, 2024, 59(5): 634-640.
[15]	LENG Minmin, SUN Yue, LU Weihua, LI Baihe, SHANG Zhiwei, WANG Zhiwen. Construction of domain knowledge graph of dementia care [J]. Chinese Journal of Nursing, 2024, 59(4): 432-437.